Chamblee Medical Clinic
Organization Active NPI Non-Pharmacy Dispensing Site · Chamblee, GA
NPI 1609820745 · NPPES record last updated Feb 25, 2008
Key facts
- NPI
- 1609820745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- 026895 (GA)
- Legal business name
- CHAMBLEE MEDICAL CLINIC
- Practice address
- 3739 Chamblee Dunwoody Rd
Chamblee, GA 30341-2062 - Phone
- (770) 458-0025
- Fax
- (770) 458-0807
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Soren Thomas
- Title
- Owner
- Phone
- (770) 458-0025
Corporate family (same tax ID) 1
Practitioners 1
-
Soren Thomas, M.D.
National Provider Directory
- Tax ID family
- Chamblee Medical Clinic
Locations
3739 Chamblee Dunwoody Rd
Chamblee, GA 30341
Phone (770) 458-0025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 026895 | GA | Yes |
Addresses
Primary practice location
3739 Chamblee Dunwoody Rd
Chamblee, GA 30341-2062
Mailing address
PO Box 80042
Atlanta, GA 30366-0042
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154284 | Other | OTHER ID NUMBER | |
| 1154284 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- SOREN S THOMAS MD
Other providers in Chamblee, GA
- CH'I Chiropractic Wellness Center, LLC
- Mary Turner Chace
- Chamblee Children'S Clinic , P.C.
- Chamblee Dunwoody Family Dentistry LLC
- Chamblee Family Medical Clinic LLC
- Dennis Chan
- Carol Kai-Hua Chang
- Shi Chieh Chang
- Tatiana Danielle Chapple
- Yi-Tsu Cheng
All providers in Chamblee, GA · Non-Pharmacy Dispensing Site in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.